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CRESCENT UROLOGY INSTITUTE
NPI 1184280695
Urology - Pediatric Urology in Houston, TX

Active since May 10, 2019CLIA 45D2177701 · Waiver
1200 BINZ ST STE 690, HOUSTON, TX 77004(713) 366-7931(713) 482-5815 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2022, Sep 18, 2019, May 10, 2019 (3 updates tracked since 2019).

About Crescent Urology Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT UROLOGY INSTITUTE (NPI 1184280695) is a healthcare organization registered as a pediatric urology in Houston, Texas and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through January 15, 2028, maintains 4 additional practice locations, and lists Dung Q Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1184280695
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameODR PEDIATRIC UROLOGY INSTITUTE PLLC
Location Address1200 BINZ ST STE 690Houston, TX 77004-6943
Mailing Address1200 Binz St Ste 690Houston, TX 77004-6943 · (713) 366-7931 · Fax (713) 482-5815
Phone(713) 366-7931
Fax(713) 482-5815
Organization SubpartYesParent: Odr Pediatric Urology Instiute
Authorized OfficialDung Q PhamOwner · (713) 366-7831
Enumeration DateMay 10, 2019
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1184280695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X
1200 BINZ ST STE 690, Houston, TX 77004
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Other Names 1

Doing Business AsCrescent Urology Institute

Secondary Practice Locations 4

Location 1915 Gessner Rd Ste 985Houston, TX 77024 · Phone (832) 729-0022
Location 26156 Richmond AveHouston, TX 77057-6210 · Phone (713) 366-7831 · Fax (713) 482-5815
Location 321316 Provincial BlvdKaty, TX 77450-7580 · Phone (713) 366-7831 · Fax (713) 482-5815
Location 415200 Southwest Fwy Ste 350Sugar Land, TX 77478-3880 · Phone (713) 366-7831 · Fax (713) 482-5815

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2177701

Odr Pediatric Urology · Houston, TX
Active · expires Jan 15, 2028
CLIA Number45D2177701
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorDung Pham
Laboratory Phone(713) 366-7831
Laboratory LocationOdr Pediatric Urology1200 Binz St, Ste 690, Houston, TX 77004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. PETER PHUC HINH MD
Urology
1200 BINZ ST STE 690
HOUSTON, TX 77004
Harris County (713) 366-7831
CRESCENT MEDICAL INSTITUTE PLLC
Urology
1200 BINZ ST STE 690
HOUSTON, TX 77004
Harris County (713) 366-7831
CAROLINE JONES
Physician Assistant
1200 BINZ ST STE 690
HOUSTON, TX 77004
Harris County (713) 366-7831
DR. DUNG Q PHAM M.D
Urology (Pediatric Urology)
1200 BINZ ST STE 690
HOUSTON, TX 77004
Harris County (713) 366-7831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odr Pediatric Urology Institute PLLC's NPI number?

The NPI number for Odr Pediatric Urology Institute PLLC is 1184280695. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Crescent Urology Institute.

Where is Odr Pediatric Urology Institute PLLC located?

Odr Pediatric Urology Institute PLLC is located at 1200 Binz St Ste 690, Houston, TX 77004. The listed phone number is (713) 366-7931.

What is Odr Pediatric Urology Institute PLLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Does Odr Pediatric Urology Institute PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2177701) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Odr Pediatric Urology Institute PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Odr Pediatric Urology Institute PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odr Pediatric Urology Institute PLLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.